FEBRUARY 11, 2019
ORLANDO, FL
www.HIMSSConference.org
#EngageHealth
Meaningful Engagement
Through Behavior Change
The Problem With “Patient
Engagement”
• Whose goals?
• For whose benefit?
• And with what consequences
if I don’t?
Engagement
Behavior Change Design Has
At Its Core
Motivational Interviewing
Transtheoretical
Model (Stages of
Change
Self-Determination Theory of Motivation
Motivational Quality, Not Quantity
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social
development, and well-being. American Psychologist, 55, 68-78.
AMOTIVATED
I have no desire
to do this.
EXTERNAL
Someone told
me I have to
do this.
INTROJECTED
I’ve internalized
the nagging:
Better do this.
IDENTIFIED
Doing this will
help me
achieve goals I
really value.
INTEGRATED
Doing this is part
of who I am.
INTRINSIC
I love doing
this; it feels
great!
CONTROLLED
AUTONOMOUS
Basic Psychological Needs
Autonomy
Competence
Relatedness
Motivation
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and
well-being. American Psychologist, 55, 68-78.
“I can make my own meaningful choices”
“I am learning, growing, and succeeding.”
“I am part of something bigger than myself. I belong.”
By providing patients the
right type of support for their
needs, we can help them
achieve autonomous forms
of motivation
THE PATIENT VOICE IN TREATMENT DECISIONS
“When people use decision aids, they
improve their knowledge of the options
and feel better informed and more clear
about what matters most to them.
People who use decision aids may
achieve decisions that are consistent
with their informed values. Decision
aids do not worsen health outcomes,
and people using them are not less
satisfied.”
Stacy, D., et al. (2017). Decision aids to help people who are facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2017(4).
What Can Designing for Engagement Look Like?
www.HIMSSConference.org
#EngageHealth
Amy Bucher, Ph.D.
Mad*Pow
@amybphd
